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Get Licensed!
The BHA Crisis Professional designation is now defined in the provider rules (effective January 1, 2024). Providers that hold a current BHA-issued license and/or endorsement letter are invited to book a technical support session focusing on your transition needs. Coming soon, you can expect to find a point-in-time visual that illustrates Behavioral Health Entity licenses and Safety Net approvals for the entire state.
Emergency and Crisis Behavioral Health Services are also part of the new Behavioral Health Safety Net Provider services. Both Essential and Comprehensive Safety Net Providers are eligible for alternative payment models, which includes enhanced fee schedule (Essential) or Prospective Payment System (Comprehensive). If you are a Behavioral Health Crisis Services Provider and are interested in learning more about Safety Net Providers, please book a support session or attend a Safety Net Provider forum.
HCPF Enrollment Updates:
Did you know that Mobile Crisis Response (MCR) services are considered both Essential and Comprehensive services by the BHA? That means that MCR services codes of 90839 with ET modifier and H2011 with ET modifier may be provided by the following provider types:
- Crisis Services PT 95, Specialty 772 MCR
- with BHA Essential approval*
- without BHA Essential approval
- Comprehensive Safety Net PT 78, Specialty 887
*Providers who have received their Essential Approval Letter from the BHA and need to update their Health First Colorado enrollment must complete the Enrollment Update Form for Essential Providers.
HCPF Behavioral Health Secure Transportation (BHST) Billing Updates:
- Multiple BHST trips in the same day are reimbursable by HCPF.
- When billing for one member taking multiple trips in the same day with the same rendering provider, modifier 76 must be used.
- When billing for one member taking multiple trips in the same day with different rendering providers, modifier 77 must be used.
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HCPF received Centers for Medicare & Medicaid Services (CMS) approval to cover BHST trips over 250 miles! To be reimbursed for a BHST trip over 250 miles, please submit the HCPF BHST 250+ Mileage Form as an attachment with your BHST claim. The HCPF BHST 250+ Mileage Form should be filled out by the professional who is establishing eligibility for BHST service, coordinating the BHST destination, and requesting the BHST service. The timeline for implementing this allowance in the system has not been determined, so timely filing rules will be bypassed for claims submitted over 365 days. However, it is recommended that new claims be submitted with the HCPF BHST 250+ Mileage Form and remain as denied until the systems changes are complete and all denied claims due to mileage over 250 will be reprocessed.
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Check out the BHST Billing Manual web page for more information.
ARPA 2.02 Project Completion
The American Rescue Plan Act (ARPA) team congratulates all Administrative Service Organizations (ASOs) and Crisis Providers who were able to utilize funding for Mobile Crisis Expansion across the state of Colorado. Crisis services are an essential component of care, and we have seen programs strengthen across the state with this funding. While the expansion grant funding is done, the work continues, and we are better able to serve our communities resulting from the work we have done together.
Get Trained!
BHA Launches Free Online Behavioral Health Educational Platform. Ownpath Learning Hub has been offered to Crisis Professionals to satisfy the requirement to complete the Crisis Professional Curriculum (CPC). To get started go to the OwnPath Learning Hub then select The CPC. From there, you can click ENROLL and then register an account. Once registered, you will be able to access the initial modules of the CPC.
Get Engaged!
CCBHC Stakeholder Forum
HCPF, in collaboration with the BHA, is launching a Certified Community Behavioral Health Clinic (CCBHC) Stakeholder forum. Forums will be held regularly beginning July 24, 2024.
The forum will be a space for all stakeholders to provide updates, lessons learned, challenges, and ideas to inform Colorado’s CCBHC Planning Grant application and the future CCBHC structure that is right for Colorado. A notice of funding opportunity to award 15 additional states with planning grants is expected to be posted this summer for award early in Fiscal Year 2025. Please register to attend an upcoming forum.
Visit the HCPF CCBHC web page or email hcpf_safetynetforum@state.co.us for more information.
Performance Measurement and Member Engagement (PMME) Committee
The PMME is looking for interested Medicaid members, quality improvement professionals, providers, advocates, and members from the community to join our committee. Serving on the PMME committee is a unique opportunity to provide strategic feedback on the performance of the Accountable Care Collaborative program and to be a part of improving the engagement and experience of Medicaid members. Please consider applying if you are interested or reach out to your network if you know others who might want to get involved.
Committee members serve up to four-year terms. The Committee currently meets monthly via videoconference or telephone on the 4th Thursday from 3:00 pm - 4:30 pm. Members are required to attend at least nine meetings in the Program Improvement Advisory Committee (PIAC) year (October 1 – September 30).
Visit the PMME web page or email Erin Herman for more information.
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